2A型多发性内分泌腺瘤的临床治疗

Clinical treatment of multiple endocrine neoplasia type 2A

目的:分析2A型多发性内分泌腺瘤的临床治疗,为临床医学提供依据。方法:收治2A型多发性内分泌腺瘤患者7例,分析患者的临床治疗方法和效果。结果:采取切除肾上腺肿瘤患者5例,采取保留部分肾上腺细胞患者2例。采取腹入路切除术治疗患者5例,1例患者采取腹腔镜手术切除术,采取甲状腺根治术患者5例,采取单侧叶甲状腺切除术治疗患者2例,术后患者的2A型MEN症状消失。结论:2A型多发性内分泌腺瘤疾病比较罕见,在治疗中需要检测患者血降钙素等,确定相适应的治疗方法。

Objective:To explore the clinical treatment of multiple endocrine neoplasia type 2A,to provide the basis for clinical medicine.Methods:7 patients with 2A type multiple endocrine adenoma patients were selected.We analyzed the methods and effect of clinical treatment of patients.Results:5 cases were treated by resection of adrenal tumors;2 cases were treated by adrenal cells retain part.5 cases were treated by abdominal approach resection;1 case was treated by laparoscopic operation resection;5cases were treated by radical operation of thyroid;2 cases were treated by unilateral lobe thyroidectomy.After operation,MEN symptoms of 2A type patients were gone.Conclusion:2A type multiple endocrine neoplasia disorder is relatively rare.In the treatment we need to detect blood calcitonin and son on,in order to determine the suitable treatment method.